Citation and Notification of Penalty

U.S. Department of LaborOccupational Safety and Health AdministrationDenver Commons Office Plaza111 Main St., Suite 111Denver, CO 11111Phone: (111) 111-1111 FAX: (222) 222-2222Citation and Notification of PenaltyTo: Inspection Number: 111111111Acme Widget Factory Inspection Date(s): 04/15/2015-04/16/2015and its successors Issuance Date: 08/21/20151 Factory LaneInglewood, CO 11111-1111Inspection Site: The violation(s) described in this citation and1 Factory Lane Notification of Penalty is (are) alleged to haveInglewood, CO 11111-1111 occurred on or about the day(s) the inspectionwas made unless otherwise indicated within thedescription given below.This Citation and Notification of Penalty (this citation) describes violations of the OccupationalSafety and Health Act of 1970. The penalty(ies) listed herein is (are) based on these violations.You must abate the violations referred to in this citation by the dates listed, and pay thepenalties proposed unless, within 15 working days (excluding weekends and federal holidays)from your receipt of this Citations and Notification of Penalty, you mail a notice of contest to theU.S. Department of Labor Area Office at the address shown above. Please refer to the enclosedbooklet (OSHA 300) which outlines your rights and responsibilities and should be read inconjunction with this form. Issuance of this citation does not constitute a finding that a violationof the Act has occurred unless there is a failure to contest as provided for in the Act or, ifcontested, unless this citation is affirmed by the Review Commission or a court.Posting – The law requires that a copy of this Citation and Notification of Penalty be postedimmediately in a prominent place at or near the location of the violation(s) cited herein, or, if it isnot practicable because of the nature of the employer’s operations, where it will be readilyobservable by all affected employees. This citation must remain posted until the violation(s)cited herein has (have) been abated, or for 3 working days (excluding weekends and federalholidays)—whichever is longer. The penalty dollar amounts need not be posted and may bemarked out or covered up prior to posting.Informal Conference – An informal conference is not required. However, if you wish to havesuch a conference you may request one with the area director during the 15 working daycontest period. During such an informal conference, you may present any evidence or viewswhich you believe would support an adjustment to the citation(s) and/or penalty(ies).If you are considering a request for an informal conference to discuss any issues related to thisCitation and Notification of Penalty, you must take care to schedule it early enough to allow timeto contest after the informal conference, should you decide to do so. Please keep in mind that awritten letter of intent to contest must be submitted to the area director within 15 working days ofyour receipt of this citation. The running of this contest period is not interrupted by an informalconference.If you decide to request an informal conference, please complete, remove, and post the page 4Notice to Employees next to this Citation and Notification of Penalty as soon as the time, date,and place of the informal conference have been determined. Be sure to bring to the conferenceany and all supporting documentation of existing conditions, as well as any abatement stepstaken thus far. If conditions warrant, we can enter into an informal settlement agreement whichamicably resolves this matter without litigation or contest.Right to Contest – You have the right to contest this Citation and Notification of Penalty. Youmay contest all citation items or only individual items. You may also contest proposed penaltiesand/or abatement dates without contesting the underlying violations. Unless you inform thearea director in writing that you intend to contest the citation(s) and/or proposedpenalty(ies) within 15 working days after receipt, the citation(s) and the proposedpenalty(ies) will become a final order of the Occupational Safety and Health ReviewCommission and may not be reviewed by any court or agency.Penalty Payment – Penalties are due within 15 working days of receipt of this notificationunless contested. (See the enclosed booklet and the additional information provided related tothe Debt Collection Act of 1982.) Make your check payable to “DOL-OSHA”. Please indicate theinspection number on the remittance.OSHA does not agree to any restrictions or conditions or endorsements put on any check ormoney order for less than the full amount due and will cash the check or money order as ifthese restrictions, conditions, or endorsements do not exist.Notification of Corrective Action – For each violation which you do not contest, you arerequired by 29 CFR 1903.19 to submit an Abatement Certification to the area director of theOSHA office issuing the citation, identified above. The certification must be sent by you within10 calendar days of the abatement date indicated on the citation. For willful and repeatviolations, documents (e.g., photos, copies of receipts, training records) demonstrating thatabatement is complete must accompany the certification. Where the citation is classified asserious and the citation states that abatement documentation is required, documents such asthose described above are required to be submitted along with the abatement certificate. If thecitation indicates that the violation was corrected during the inspection, no abatementcertification is required for that item.All abatement verification documents must contain the following information: 1) Yourname and address; 2) the inspection number (found on the front page); 3) the citation andcitation item number(s) to which the submission relates; 4) a statement that the information isaccurate; 5) the signature of the employer or employer’s authorized representative; 6) the datethe hazard was corrected; 7) a brief statement of how the hazard was corrected; and 8) astatement that affected employees and their representatives have been informed of theabatement.The law also requires a copy of all abatement verification documents, required by 29 CFR1903.19, to be sent to OSHA and also be posted at the location where the violation appearedand the corrective action took place.Employer Discrimination Unlawful – The law prohibits discrimination by an employer againstan employee for filing a complaint or for exercising any rights under this Act. An employee whobelieves that he/she has been discriminated against may file a complaint no later than 30 daysafter the discrimination occurred with the U.S. Department of Labor Area Office at the addressshown above.Employer Rights and Responsibilities – The enclosed booklet (OSHA 300) outlinesadditional employer rights and responsibilities and should be read in conjunction with thisnotification.Notice to Employees – The law gives an employee or his/her representative the opportunity toobject to any abatement date set for a violation if he/she believes the date to be unreasonable.The contest must be mailed to the U.S. Department of Labor Area Office at the address shownabove and postmarked within 15 working days (excluding weekends and federal holidays) of thereceipt by the employer of this Citation and Notification of Penalty.Inspection Activity Data – You should be aware that OSHA publishes information on itsinspection and citations activity on the Internet under the provisions of the Electronic Freedomof Information Act. The information related to your inspection will be available 30 calendar daysafter the citation issuance date. You are encouraged to review the information concerning yourestablishment at www.osha.gov. If you have any dispute with the accuracy of the informationdisplayed, please contact the office.U.S. Department of LaborOccupational Safety and Health AdministrationNOTICE TO EMPLOYEES OF INFORMAL CONFERENCEAn informal conference has been scheduled with OSHA to discuss thecitation(s) issued on 08/21/21015. The conference will be held at the OSHAoffice located at Denver Commons Office Plaza, 111 Main St., Suite 111,Denver, CO 11111 on ________ at __________. Employees and/orrepresentatives of employees have a right to attend an informalconference.CERTIFICATION OF CORRECTIVE ACTION WORKSHEETInspection Number:Company Name:Inspection Site:Issuance Date:List the specific method of correction for each item on this citation in this package that does notread “Corrected During Inspection” and return to: U.S. Department of Labor – OccupationalSafety and Health Administration, Denver Commons Office Plaza, 111 Main St., Suite 111,Denver, CO 11111Citation Number ____ and Item Number ____ was corrected on _______________ By (Methodof Abatement):_______________________________________________________________Citation Number ____ and Item Number ____ was corrected on _______________ By (Methodof Abatement): _______________________________________________________________Citation Number ____ and Item Number ____ was corrected on _______________ By (Methodof Abatement): _______________________________________________________________Citation Number ____ and Item Number ____ was corrected on _______________ By (Methodof Abatement): _______________________________________________________________Citation Number ____ and Item Number ____ was corrected on _______________ By (Methodof Abatement): _______________________________________________________________Citation Number ____ and Item Number ____ was corrected on _______________ By (Methodof Abatement): _______________________________________________________________I certify that the information contained in this document is accurate and that the affectedemployees and their representatives have been informed of the abatement.________________________ ____________________________Signature Date________________________ ____________________________Typed or Printed Name TitleNOTE-: 29 USC 666(g) whoever knowingly makes any false statements, representation orcertification in any application, record, plan or other documents filed or required to bemaintained pursuant to the Act shall, upon conviction, be punished by a fine of not more than$10,000 or by imprisonment of not more than 6 months or both. POSTING: A copy of completedCorrective Action Worksheet should be posted for employee reviewU.S. DEPARTMENT OF LABOROCCUPATIONAL SAFETY AND HEALTH ADMINISTRATIONCERTIFICATE OF CORRECTIONThe undersigned certifies that on ______________, all of the violationscited on OSHA Citation # ____________ issued on _________, werecorrected and that a copy of this certificate was posted on _________ in amanner and place for review by affected employees.______________________Employer’s SignatureU.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 The alleged violations below have been grouped because they involve similar or relatedhazards that may increase the potential for injury or illness.Citation 1 Item 1a Type of Violation: Serious29 CFR 1910.1025(c)(1) Exposure levels to lead fumes during welding operations werenot kept below the established permissible exposure level (PEL).(a) Location – Frame Assembly AreaOn 04/15/15, a MIG welder in the frame assembly area was exposed to leadat an airborne time weighted average (TWA) exposure of 100 µg/m3. Thisexposure was approximately 2 times the permissible exposure limit (PEL) of50 ug/m3. This exposure was calculated from a sample collected over a 410minute period; a zero increment was included for the 70 minutes not sampled.(b) Location – Frame Assembly AreaOn 04/15/15 a MIG welder in the frame assembly area was exposed to leadat an airborne time weighted average (TWA) exposure of 80 µg/m3. Thisexposure was approximately 2 times the permissible exposure limit (PEL) of50 ug/m3. This exposure was calculated from a sample collected over a 400minute period; a zero increment was included for the 80 minutes not sampled.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate by which violation must be abated: 09/28/2015Proposed Penalty: $7000.00U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 Citation 1 Item 1b Type of Violation: Serious29 CFR 1910.1025(e)(1)(ii): Where an employee was exposed to lead above thepermissible exposure limit, but for 30 days or less per year, engineering controls werenot implemented to reduce exposures to 200 ug/m3:Engineering controls were not implemented to reduce the exposure to employeesoverexposed to Lead.Engineering controls usually effective in these circumstances include, but are not limitedto, the following:1. Modification of the existing ventilation system to improve capture velocity at theventilation hoods.2. Modification of ventilation hoods to better collect metal fumes,Abatement StepsSTEP 1: Effective respirators shall be provided and used by all employee(s) as aninterim measure. Abatement must be completed by September 1, 2015.U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 STEP 2: Submit to the Area Director a written detailed plan of abatement outlining aschedule for the implementation of engineering measures to control employeeexposures as referenced in this citation. This plan shall include, at a minimum, targetdates for the following actions which must be consistent with the dates required by thiscitation.a) Evaluation of the extent and location of the hazard source.b) Evaluation of control measure options.c) Selection of optimum control method(s).d) Determination of control measure design.e) Ordering and delivery of equipment and material(s).f) Installation of control measures.g) Training of employees in proper operation and maintenance of newly-implementedcontrol measures.h) Assurance of effective performance of control measures.All proposed control measures shall be evaluated for each particular use by atechnically qualified person. Abatement must be completed by September 1, 2015.STEP 3: Correction should have been completed by the implementation of feasibleengineering controls and air sampling results to verify the effectiveness in achievingcompliance. Abatement must be completed by September 1, 2015.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate By Which Violation Must be Abated: 09/28/2015U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 Citation 1 Item 2 Type of Violation: Serious29 CFR 1910.134(c)(1): A written respiratory protection program that included theprovisions in 1910.134(c)(1)(i) – (ix) with worksite specific procedures was notestablished and implemented for required respirator use: No written program wasdeveloped for employees who were overexposed to lead and who are required to wearrespirators while working in the frame assembly area.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate By Which Violation Must be Abated: 09/28/2015Proposed Penalty: $4900.00U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 Citation 1 Item 3 Type of Violation: Serious29 CFR 1910.13 4(e)(1): The employer did not provide a medical evaluation todetermine the employee’s ability to use a respirator, before the employee is fit-tested orrequired to use the respirator in the workplace: At least three employees who wererequired to use respiratory protection while working in the frame assembly area werenot provided a medical evaluation.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate By Which Violation Must be Abated: 09/28/2015Proposed Penalty: $3500.00U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 The alleged violations below have been grouped because they involve similar or relatedhazards that may increase the potential for injury or illness.Citation 1 Item 4a Type of Violation: Serious29 CFR 1910.134(f)(1): The employer did not ensure that employees using a tight-fittingfacepiece respirator pass an appropriate qualitative fit test (QLFT) or quantitative fit test(QNFT) as stated in 29 CFR 1910(f): No fit testing was done for employees who wereoverexposed to lead and who are required to wear respirators while working in theframe assembly area.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate By Which Violation Must be Abated: 09/28/2015Proposed Penalty: $4900.00U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 Citation 1 Item 4b Type of Violation: Serious29 CFR 1910.134(g)(1)(i)(A): Respirators with tight-fitting facepieces were worn byemployees who had facial hair that came between the sealing surface of the facepieceand the face or that interfered with valve function: Two employees, who wore half mask3M respirators, had beards which interfered with the face seal.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate By Which Violation Must be Abated: 09/28/2015U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 Citation 1 Item 5 Type of Violation: Serious29 CFR 1910.134(k)(1): The employer did not ensure that each employee candemonstrate knowledge of at least 29 CFR 1910.134(h)(1)(i) through(vii): At least threeemployees who were required to use respiratory protection while working in the frameassembly area were not trained in the use of respirators.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate By Which Violation Must be Abated: 09/28/2015Proposed Penalty: $4900.00U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 Citation 1 Item 6 Type of Violation: Serious29 CFR 1910.147(c)(1): The employer did not establish a program consisting of anenergy control procedure and employee training to ensure that before any employeeperformed any servicing or maintenance on a machine or equipment where theunexpected energizing, start up or release of stored energy could occur and causeinjury, the machine or equipment would be isolated, and rendered inoperative inaccordance with 29 CFR 1910.147(c)(4): No energy control program was developed foremployees who work on equipment including, but not limited to, the mechanicalpresses.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate By Which Violation Must be Abated: 09/28/2015Proposed Penalty: $2800.00U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 Citation 1 Item 7 Type of Violation: Serious29 CFR 191 0.1200(f)(5)(i): The employer did not ensure that each container ofhazardous chemicals in the workplace was labeled, tagged or marked with the identityof the hazardous chemical( s) contained therein: a) At the jobsite – The employer did notensure that each container of hazardous chemicals in the workplace was labeled withlegible markings. The labels for three 5 gallon jugs containing clear liquids were notlabeled. Employees in the area could not determine what the liquids were. Observed on04/15/2015 Abatement certification required within 10 days after abatement date. Thecertification shall include a statement that abatement is complete, date and method ofabatement, and state employees and their representatives were informed of thisabatement.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate By Which Violation Must be Abated: 09/28/2015Proposed Penalty: $3000.00U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 Citation 1 Item 8 Type of Violation: Serious29 CFR 1910.1200(g)(8): The employer did not maintain in the workplace copies of therequired safety data sheets for each hazardous chemical, and did not ensure that theywere readily accessible during each work shift to employees when they were in theirwork area( s)The employer did not maintain safety data sheets to assist employees working withhazardous chemicals such as, but not limited to, Methyl Ethyl Ketone, Acetone, andSulfuric Acid. Observed on 04/15/2015. Abatement certification required within 10 daysafter abatement date. The certification shall include a statement that abatement iscomplete, date and method of abatement, and states employees and theirrepresentatives were informed of this abatement.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate By Which Violation Must be Abated: 09/28/2015Proposed Penalty: $3000.00U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 Citation 1 Item 9 Type of Violation: Serious29 CPR 191 0.178(1)(1 )(ii): Prior to permitting an employee to operate a poweredindustrial truck (except for training purposes), the employer shall ensure that eachoperator has successfully completed the training required by this paragraph (1), exceptas permitted by paragraph (1)(5):a. The employer did not ensure that employees received a combination of formalinstruction (e.g., lecture, discussion, interactive computer learning, video tape,written material), practical training (demonstrations performed by the trainer andpractical exercises performed by the trainee), and an evaluation of the operator’sperformance in the workplace prior to permitting each employee to operate apowered industrial truck.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate By Which Violation Must be Abated: 09/28/2015Proposed Penalty: $5500.00U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 Citation 1 Item 10 Type of Violation: Serious29 CFR 1910.305(g)(l)(iv)(A): Flexible cords and/or cables were used as a substitutefor the fixed wiring of a structure:Employees were exposed to electrical shock hazards while operating equipmentsuch as, but not limited to computers controlling production equipment which wereplugged into temporary electrical wiring:a) Management had rerouted some of the computers from the press area to aneighboring office by using an electrical cord attached to a surge protector androuting it though the AC vent to the office.b) At least 5 relocatable power taps were being used with one electrical wall 120Vreceptacle to provide power to at least 10 electrical devices such as, but not limitedto, computers in the manufacturing area, office phones, cell phone chargers, andprinters.c) Several extension cords ran across the floor to computers in the production areaand were not secured.U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEM.Date By Which Violation Must be Abated: 09/28/2015Proposed Penalty: $7000.00U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 Citation 1 Item 11 Type of Violation: SeriousOSH Act of 1970 Section 5(a)(1): The employer did not furnish employment and a placeof employment which were free from recognized hazards that were causing or likely tocause death or serious physical harm to employers, in that employees were exposed tochemicals that could be injurious to the eyes with no emergency eyewash within 300feet.a. Employees in the parts washing area were using large quantities of methyl ethylketone and acetone to clean parts. The process required employees to placelarge parts into a solvent cleaning station and spray the parts with Solven100®, amixture containing 75% MEK and 25% acetone. The spraying process created ahigh risk of the chemical splashing into the employee’s eyes.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate By Which Violation Must be Abated: 09/28/2015Proposed Penalty: $5500.00U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 Citation 1 Item 12 Type of Violation: Serious29 CFR 1910.138(a): The employer did not select and require employee(s) to useappropriate hand protection when the employees hands were exposed to hazards suchas those from skin absorption of harmful substances and chemical burns:a. Employees in the parts washing area were using large quantities of methyl ethylketone and acetone to clean parts. The process required employees to placelarge parts into a solvent cleaning station and spray the parts with Solven100®, amixture containing 75% MEK and 25% acetone. The employee was thenrequired to use a rag dipped in the solution to wipe down the parts. Theemployee was not furnished with any impervious gloves.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate By Which Violation Must be Abated: 09/28/2015Proposed Penalty: $7000.00U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 Citation 2 Item 1 Type of Violation: Willful29 CFR 1910.1025(d)(2): An initial determination was not made to determine if anyemployee may be exposed to lead at or above the action level: No air sampling wasdone to determine if employees were over exposed to lead during welding operations.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate By Which Violation Must be Abated: 09/28/2015Proposed Penalty: $49000.00U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 The alleged violations below have been grouped because they involve similar or relatedhazards that may increase the potential for injury or illness.Citation 2 Item 2a Type of Violation: Willful29 CFR 1910.1025(1)(1)(i): Employee(s) working in an area where there is potentialexposure to airborne lead at any level were not informed of the content of Appendices Aand B of this regulation: No training was done for employees who work on the sitecasting lead containing alloys.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate By Which Violation Must be Abated: 09/28/2015Proposed Penalty: $49000.00U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 Citation 2 Item 2b Type of Violation: Willful29 CFR 1910.1025 (1)( 1 )(ii): A training program was not instituted and required for allemployees who were subject to lead exposure at or above the action level, or for whomthe possibility of skin or eye irritation existed: No training was done for employees whowere overexposed to lead while welding in the frame assembly area.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate By Which Violation Must be Abated: 09/28/2015U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 The alleged violations below have been grouped because they involve similar or relatedhazards that may increase the potential for injury or illness.Citation 2 Item 3a Type of Violation: Willful29 CFR 1910.1 200(e)( 1): The employer did not develop, implement, and/or maintain atthe workplace a written hazard communication program which describes how thecriteria specified in 29 CFR 1910.1200(f), (g), and (h) will be met: No written hazardcommunication program was developed for employees who work on the site and areexposed to hazardous chemicals including, but not limited to, lead, methyl ethyl ketone,acetone, and sulfuric acid.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate By Which Violation Must be Abated: 09/28/2015Proposed Penalty: $49000.00U.S. Department of Labor Inspection Number: 111111111Occupational Safety and Health Administration Inspection Date(s): 04/15/2015-04/16/2015Issuance Date: 08/21/2015Citation and Notification of Penalty Company Name:Inspection Site:Acme Widget Factory1 Factory Lane, Inglewood, CO 11111-1111 Citation 2 Item 3b Type of Violation: Willful29 CFR 1910.1200(h)(1): Employees were not provided with effective information andtraining as specified in 29 CFR 1910.1200 (h)(2) and (3) on hazardous substances intheir work area at the time of their initial assignment and whenever a new hazard wasintroduced into their work area: No training was provided for employees who work onthe site and are exposed to hazardous chemicals including, but not limited to, lead,methyl ethyl ketone, acetone, and sulfuric acid.ABATEMENT DOCUMENTATION REQUIRED FOR THIS ITEMDate By Which Violation Must be Abated: 09/28/2015U.S. Department of LaborOccupational Safety and Health AdministrationDenver Commons Office Plaza111 Main St., Suite 111Denver, CO 11111Phone: (111) 111-1111 FAX: (222) 222-2222INVOICE / DEBT COLLECTION NOTICECompany Name: Acme Widget FactoryInspection Site: 1 Factory Lane, Inglewood, CO 11111-1111Issuance Date: 08/21/2015Summary of Penalties for Inspection Number 111111111Citation 1, Serious $59000.00Citation 2, Willful $147000.00TOTAL PROPOSED PENALTIES S206000.00To avoid additional charges, please remit payment promptly to this Area Office for the total amount ofthe uncontested penalties summarized above. Make your check or money order payable to: “DOLOSHA”. Please indicate OSHA’s Inspection Number (indicated above) on the remittance.OSHA does not agree to any restrictions or conditions or endorsements put on any check or moneyorder for less than the full amount due, and will cash the check or money order as if these restrictions orconditions do not exist.If a personal check is issued, it will be converted into an electronic fund transfer (EFT). This means thatour bank will copy your check and use the account information on it to electronically debit your accountfor the amount of the check. The debit from your account will then usually occur within 24 hours andwill be shown on your regular account statement. You will not receive your original check back. Thebank will destroy your original check, but will keep a copy of it. If the EFT cannot be completed becauseof insufficient funds or closed account, the bank will attempt to make the transfer up to 2 times.Pursuant to the Debt Collection Act of 1982 (Public Law 97-365) and regulations of the U.S. Departmentof Labor (29 CFR Part 20), the Occupational Safety and Health Administration is required to assessinterest, delinquent charges, and administrative costs for the collection of delinquent penalty debts forviolations of the Occupational Safety and Health Act.Interest: Interest charges will be assessed at an annual rate determined by theSecretary of the Treasury on all penalty debt amounts not paid within one month (30calendar days) of the date on which the debt amount becomes due and payable(penalty due date). The current interest rate is one percent (1%). Interest will accruefrom the date on which the penalty amounts (as proposed or adjusted) become a finalorder of the Occupational Safety and Health Review Commission (that is, 15 workingdays from your receipt of the Citation and Notification of Penalty), unless you file anotice of contest. Interest charges will be waived if the full amount owed is paid within30 calendar days of the final order.Delinquent Charges: A debt is considered delinquent if it has not been paid within onemonth (30 calendar days) of the penalty due date or if a satisfactory paymentarrangement has not been made. If the debt remains delinquent for more than 90calendar days, a delinquent charge of six percent (6%) per annum will be assessedaccruing from the date that the debt became delinquent.Administrative Costs: Agencies of the Department of Labor are required to assessadditional charges for the recovery of delinquent debts. These additional charges areadministrative costs incurred by the Agency in its attempt to collect an unpaid debt.Administrative costs will be assessed for demand letters sent in an attempt to collect theunpaid debt.____________________ _____________John Smith DateArea Director